Patient Forms

BHMG-United Medical Welcomes You to Our Family of Satisfied Patients

Once you have made your initial appointment, please pre-register by completing our new Online Registration form. We encourage our patients to complete the forms to save time and avoid lines at the main desk allowing our patients to be seen more quickly. 

Also, please be sure to bring with you any diagnostic reports or other test results that may have been ordered or performed by another physician.

Please pre-register at least 48 hours in advance to ensure sufficient time to process you request and provide you with excellent customer service. 

Centralized Online Scheduling

Online New Patient Registration Form 

Health History Form

Release of Records Form

Patient Registration Packet-Printable Forms

• English
• Spanish
• Korean

Pain Management Patients

• Pain Assessment Form For New Patients
• Pain Assessment Form For Follow Up Patients

New Jersey Immunization Information System Consent to Participate

• Vaccine Consent